Pilates and Proprioceptive Neuromuscular Facilitation Methods Induce Similar Strength Gains but Different Neuromuscular Adaptations in Elderly Women

Carvalho, Fabiana Teixeira de; Mesquita, Laiana Sepúlveda de Andrade; Pereira, Rafael; Neto, Osmar Pinto; Zângaro, Renato Amaro

doi:10.1080/0361073x.2017.1369624

Cited by 11 publications

(10 citation statements)

References 42 publications

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“…These results may be related to the fact that strength in the lower limbs and the trunk may positively influence the center of gravity distribution for balance strategies [14]. Our data also support those of previous studies reporting an improvement in strength [17,23,24,47,73,74]; likewise, our data show balance improvements, which have been suggested to be explained through the relationship with strength and trunk stabilization [14], along with a higher proprioception sensitivity caused by neuromuscular changes that contribute to cortical remapping [42]. Furthermore, better neuromotor recruitment patterns could explain strength gains [75].…”

Section: Discussionsupporting

confidence: 90%

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Fernández‐Rodríguez¹,

Álvarez‐Bueno²,

Ferri-Morales³

et al. 2021

Physiotherapy

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Background Falls are the leading cause of injury-related deaths in older adults. Physical exercise is a suitable strategy to reduce the risk of falls, but there is little research on the effectiveness of specific exercise modalities. Objectives To estimate the effectiveness of Pilates compared to habitual or non-exercise on physical performance and the risk of falls in older adults. Data sources Five databases were searched through April 15, 2021. Study selection Randomized controlled trial in people aged ≥60 years. Outcomes: balance, strength, flexibility, functionality, and risk of falls. Data synthesis Pooled standardized mean differences were calculated using a random-effects model. Subgroup analyses based on Pilates' modality, the existence of a detailed exercise protocol, supervision by a certified instructor, and overall risk of bias were performed. Results Thirty-nine studies were included in the systematic review and meta-analyses. The meta-analyses indicated a moderate effect of Pilates on balance (ES = 0.36; 95% CI = 0.21 to 0.50), strength (ES = 0.63; 95% CI = 0.44 to 0.81), flexibility (ES = 0.41; 95% CI = 0.16 to 0.67), and functionality (ES = 0.51; 95% CI = 0.32 to 0.72) as well as a large effect on the risk of falls (ES = 0.90; 95% CI = 0.41 to 1.38) in older adults when compared with control groups. The level of certainty of the findings was low for balance, flexibility, and functionality and moderate for strength and falls. Conclusion and implications of key findingsPilates may promote the autonomy of older people in their daily living activities. Contribution of the Paper• Pilates is an alternative exercise for reducing the risk of falls.• Pilates improves balance, strength, flexibility, and functionality in older people.• Pilates may increase the autonomy of older adults in their daily living activities.

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Section: Discussionsupporting

confidence: 90%

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Fernández‐Rodríguez¹,

Álvarez‐Bueno²,

Ferri-Morales³

et al. 2021

Physiotherapy

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“…De los 41 artículos, encontramos nueve que emplean el método Pilates para la mejora de la fuerza muscular (Bergamin et al, 2015;Bertoli et al, 2018;Choi et al, 2019;de Carvalho, Mesquita, Pereira, Neto & Amaro Zangaro, 2017;de Oliveira, de Oliveira & Pires-Oliveira, 2018de Oliveira, Pires-Oliveira, Abucarub, de Oliveira & de Oliveira, 2017;Pinheiro et al, 2014); trece para mejorar el equilibrio y disminuir el riesgo de caídas (Aibar-Almazan et al, 2019;Barker et al, 2016;Bird & Fell, 2014;Cruz-Diaz et al, 2015;Gabizon, Press, Volkov, & Melzer, 2016;Irez, 2014;Josephs, Pratt, Calk Meadows, Thurmond, & Wagner, 2016;Markovic, Sarabon, Greblo & Krizanic, 2015;Mesquita, de Carvalho, Freire, Neto & Zangaro, 2015;Pata, Lord, & Lamb, 2014;Roller et al, 2018;Scherf, Guadagnin, Tier, & De Almeida Dias, 2019;Sofianidis, Dimitriou & Hatzitaki, 2017); dos para comprobar el impacto del método sobre la capacidad funcional de las mujeres (Bertoli, Biduski & Freitas, 2017;Vieira et al, 2017); tres artículos en los que se analizaron los efectos del Pilates sobre la composición corporal (Ruiz-Montero & Castillo-Rodriguez, 2018;Ruiz-Montero, Castillo-Rodríguez, Mikalacki, Nebojsa & Korovljev, 2014;Vasconcelos, Cardozo, Lucchetti & Lucchetti, 2016); ocho para determinar mejoras en el dolor corporal y la calidad de vida (Aibar-Almazan et al, 2019;Curi, Haas, Alves-Vilaca & Fernandes, 2018;de Oliveira, de Oliveira & Pires-Oliveira, 2015;Liposcki et al, 2019;…”

Section: Resultsunclassified

“…En cuanto al diseño, diez fueron estudios pre-post con un grupo de intervención (Bergamin et al, 2015;Bertoli et al, 2017Bertoli et al, , 2018Bird & Fell, 2014;Choi et al, 2019;Geremia, Iskiewicz, Marschner, Lehnen & Lehnen, 2015;Pata et al, 2014;Pérez et al, 2014;Pinheiro et al, 2014;Ruiz-Montero et al, 2014;Scherf et al, 2019) y seis pre-post con un grupo control y uno experimental de Carvalho et al, 2017;Irez, 2014;Ruiz-Montero & Castillo-Rodriguez, 2018;Sofianidis et al, 2017;Vasconcelos et al, 2016); cuatro ensayos clínicos aleatorizados (de Oliveira, Liposcki et al, 2019;Vieira et al, 2017); quince ensayos controlados aleatorizados (Aibar-Almazán et al, 2019;Aibar-Almazan et al, 2019;Barker et al, 2016;Cruz-Diaz et al, 2015;de Oliveira, de Oliveira & Pires-Oliveira, 2016;de Oliveira et al, 2018;Gabizon et al, 2016;Josephs et al, 2016;Markovic et al, 2015;Mesquita et al, 2015;Roller et al, 2018); dos estudios transversales (Ruiz-Montero et al, 2015) y un estudio piloto (Jurakic et al, 2017) (tabla 1).…”

Section: Resultsunclassified

“…Por otra parte, algunos estudios comparan el uso de Pilates, frente a otros métodos de entrenamiento como la Facilitación Neuromuscular Propioceptiva (PNF) (de Carvalho et al, 2017) o el uso de plataformas vibratorias (de Oliveira et al, 2018), respecto a la ganancia de fuerza muscular. Tras un mes de entrenamiento con Pilates y PNF, ambos métodos mostraron mejoras significativas, sin diferencias estadísti-cas entre ellos.…”

Section: Fuerza Muscularunclassified

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Programas de intervención física en mujeres mayores a través del método Pilates: Una revisión sistemática (Physical intervention programs in older women trough the Pilates method: A systematic review)

Medina

Díaz

García

et al. 2020

Retos

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Programas de intervención física en mujeres mayores a través del método Pilates: Una revisión sistemática Physical intervention programs in older women trough the Pilates method: A systematic review Virginia Tejada Medina, Carlos Díaz Caro, Cristian González García, Pedro Jesús Ruiz Montero Universidad de Granada (España) Resumen. La proporción de personas mayores de 60 años, ha aumentado más rápidamente que cualquier otro grupo de edad. Este hecho influye directamente sobre la salud y la capacidad funcional, siendo el género un determinante transversal del envejecimiento activo que refleja enormes desventajas sobre las mujeres mayores. El propósito de esta revisión fue conocer los programas de intervención mediante el método Pilates en mujeres mayores de 60 años, y analizar los efectos sobre las capacidades físicas y la calidad de vida. La búsqueda se realizó en las bases de datos Web of Science y Scopus, a partir de los descriptores “Pilates, adultos mayores, mujeres, calidad de vida y prevención”. El proceso de selección y análisis de los artículos se realizó por parejas, de 2014 a 2019. De los 100 resultados obtenidos inicialmente, 41 cumplieron con los criterios de inclusión y fueron seleccionados para la revisión. Los estudios analizados se centran principalmente en la aplicación de programas de Pilates para la mejora de la composición corporal, la fuerza muscular, la flexibilidad, el equilibrio, la prevención de caídas, la funcionalidad y la calidad de vida en mujeres mayores de 60 años. Tras el análisis, encontramos hallazgos coincidentes con la literatura nacional e internacional respecto a los beneficios de la práctica de Pilates en mujeres adultas mayores. En conclusión, el método Pilates favorece la funcionalidad de estas personas y por ende aporta una mayor calidad de vida relacionada con la salud. Palabras claves: método Pilates, adultos mayores, mujeres, calidad de vida, prevención. Abstract. The proportion of people over 60 has increased more rapidly than any other age group. This fact directly influences health and functional capacity, = gender being a transversal determinant of active aging that reflects enormous disadvantages in older women. The purpose of this review was to know the intervention programs using the Pilates method in women over 60 years of age, and to analyze the effects on physical abilities and quality of life. The search was carried out in the Web of Science and Scopus databases, based on the descriptors “Pilates, older adults, women, quality of life, and prevention”. The selection and analysis of the articles was carried out in pairs, from 2014 to 2019. Of the 100 results initially obtained, 41 met the inclusion criteria and were selected for review. The analyzed studies mainly focus on the application of Pilates programs for the improvement of body composition, muscle strength, flexibility, balance, prevention of falls, functionality, and quality of life in women over 60 years of age. After the analysis, we found findings that coincide with national and international literature regarding the benefits of practicing Pilates in older women. In conclusion, the Pilates method favors the functionality of these people and therefore provides a better quality of life related to health.

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“…These benefits are observed not only in the healthy population but also in those with specific disorders, such as chronic low back pain [16], multiple sclerosis [25], breast cancer [26] and Parkinson’s disease [27]. The neuromuscular stimulation achieved during Pilates [28] may be of sufficient intensity to improve CRF, providing benefits in VO 2 max for individuals with different health conditions [29,30,31,32,33]. Thus, it seems that Pilates exercises include a mind–body component [34] that could have a beneficial impact in different populations.…”

Section: Introductionmentioning

confidence: 99%

Pilates Method Improves Cardiorespiratory Fitness: A Systematic Review and Meta-Analysis

Fernández-Rodríguez

Álvarez‐Bueno

Ferri-Morales

et al. 2019

JCM

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Cardiorespiratory fitness has been postulated as an independent predictor of several chronic diseases. We aimed to estimate the effect of Pilates on improving cardiorespiratory fitness and to explore whether this effect could be modified by a participant’s health condition or by baseline VO2 max levels. We searched databases from inception to September 2019. Data were pooled using a random effects model. The Cochrane risk of bias (RoB 2.0) tool and the Quality Assessment Tool for Quantitative Studies were performed. The primary outcome was cardiorespiratory fitness measured by VO2 max. The search identified 527 potential studies of which 10 studies were included in the systematic review and 9 in the meta-analysis. The meta-analysis showed that Pilates increased VO2 max, with an effect size (ES) = 0.57 (95% CI: 0.15–1; I2 = 63.5%, p = 0.018) for the Pilates group vs. the control and ES = 0.51 (95% CI: 0.26–0.76; I2 = 67%, p = 0.002) for Pilates pre-post effect. The estimates of the pooled ES were similar in both sensitivity and subgroup analyses; however, random-effects meta-regressions based on baseline VO2 max were significant. Pilates improves cardiorespiratory fitness regardless of the population’s health status. Therefore, it may be an efficacious alternative for both the healthy population and patients suffering from specific disorders to achieve evidenced-based results from cardiorespiratory and neuromotor exercises.

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Pilates and Proprioceptive Neuromuscular Facilitation Methods Induce Similar Strength Gains but Different Neuromuscular Adaptations in Elderly Women

Abstract: These results support use of both Pilates and PNF methods to enhance lower limb muscle strength in older groups, which is very important for gait, postural stability, and performance of daily life activities.

Cited by 11 publications

References 42 publications

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Programas de intervención física en mujeres mayores a través del método Pilates: Una revisión sistemática (Physical intervention programs in older women trough the Pilates method: A systematic review)

Pilates Method Improves Cardiorespiratory Fitness: A Systematic Review and Meta-Analysis

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